Chapter 3

Intraoperative Assessementof the Liver

Matteo Donadon, Guido Costa and Guido Torzilli

Abstract

• Intraoperative ultrasound (IOUS) is a fundamental tool used in modern hepatic surgery, which can precisely define the liver anatomy and accurately identify target lesions.</p><p> • IOUS is one of the key factors to spare hepatic parenchyma without compromising the oncological endpoints.</p><p> • IOUS should be performed by the first surgeon with the aim of gathering information that might impact the surgical strategy.</p><p> • IOUS is an important tool for staging malignancies, determining resectability, and planning the most adequate procedure.</p><p> • Contrast-enhanced IOUS (CEIOUS) is useful in the differential diagnosis of new lesions eventually detected with basic IOUS and can increase its overall sensitivity.

Total Pages: 38-47 (10)

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